Bilateral tubal obstruction

It is a frequent reason for consultation to hear phrases such as “I have OTB and now I want another child”, “I have a new partner and we want a baby, but I have salpingoclasia” or “my children are growing and I want another baby at home”.

The truth in any of these cases is that generally the decision was made appropriately based on the living conditions of that moment, for which, more than regret, what women who are faced with this desire should do is be firm in the decision to seek a new pregnancy and find the most appropriate alternative for your particular case.

There are two alternatives: tubal recanalization surgery or in vitro fertilization (IVF). Each one has its conditions and possibilities of success that will depend fundamentally on the technique used for the OTB and the age and reserve of ovules of the woman. There are tubal surgeries that seriously compromise the anatomy of the tube, making its restoration very difficult or impossible, and likewise, advanced age has a negative impact on the chances of success in both techniques.

Recanalization surgery can be attempted in young women with a good egg reserve, always informing that they will have a slightly lower chance of pregnancy compared to the expected rate for their age and an increased risk of ectopic pregnancy, while IVF can be carried out carried out in any age group with high chances of success and without the need to go to surgery, so that after the end of the pregnancy her status as a woman with OTB is maintained (that is, no more children conceived naturally).

“Ultimately, I think that the most important thing is to receive abundant and detailed information about the alternatives before making a decision, just like what was previously made when deciding to carry out the OTB.”

Dr. Otto Paredes
Dr. Otto Paredes
Fertility Expert
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